#119 A 80F with Melena and AKI also with an Unresolved Pneumonia: Hoofbeats Episode
Core IM | Internal Medicine Podcast
The Chief Complaint - ANCA Vasculitis?
The patient confirms her 20-pound weight loss in the last three months. She also reports months of progressive hearing loss and a painful red eye with some vision impairment for four months. An endoscopy after discharge did not reveal any upper GI source of bleeding. The patient underwent a video-assisted thoroscopic lung biopsy, or VATs, which confirmed granulomatosis of polyangitis,. Optimologic exam also revealed necrotizing sloritis.
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